Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chinmay Anil Surpur, MA

Individual provider Clinical Psychologist · NPI 1093671844

Chinmay Anil Surpur, MA is a Clinical Psychologist in San Jose, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2570 N 1st St Ste 200
San Jose, CA 95131-1037
Phone: (510) 698-2269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSB94029071 (CA)

Record details

NPI number1093671844
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedDecember 24, 2025
Last updated in NPPESDecember 24, 2025
Certification dateDecember 24, 2025

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